This provider averages 55 services per working day
Based on 136.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Infectious Disease providers nationally.
Averaging 55 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $124.77 | $57.95 | 2.15x | $66.82 | $749.1K | 17.5K | 2.6K |
| 2015 | $116.35 | $53.77 | 2.16x | $62.58 | $652.5K | 15.1K | 2.6K |
| 2016 | $115.84 | $51.33 | 2.26x | $64.51 | $586.7K | 15.0K | 2.6K |
| 2017 | $126.28 | $56.04 | 2.25x | $70.24 | $524.0K | 13.7K | 2.4K |
| 2018 | $129.47 | $54.77 | 2.36x | $74.70 | $534.3K | 14.1K | 2.4K |
| 2019 | $125.60 | $52.21 | 2.41x | $73.39 | $569.6K | 15.4K | 2.4K |
| 2020 | $128.83 | $54.52 | 2.36x | $74.31 | $553.4K | 14.6K | 2.0K |
| 2021 | $130.84 | $60.40 | 2.17x | $70.44 | $557.6K | 14.8K | 1.7K |
| 2022 | $123.17 | $56.54 | 2.18x | $66.63 | $341.8K | 8.2K | 1.4K |
| 2023 | $121.06 | $53.13 | 2.28x | $67.93 | $324.1K | 8.3K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 25.9K | $1.3M | $51.62 | 2.49x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 22.7K | $1.3M | $56.30 | 1.82x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.8K | $531.0K | $78.37 | 1.94x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 16.8K | $386.6K | $22.98 | 2.58x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.9K | $303.9K | $105.81 | 1.76x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 2.8K | $245.9K | $87.87 | 3.04x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.5K | $234.3K | $154.77 | 1.64x |
| J1335 | Injection, ertapenem sodium, 500 mg | 7.7K | $212.6K | $27.68 | 2.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.5K | $161.1K | $46.14 | 2.36x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 1.3K | $129.0K | $97.24 | 2.89x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 2.6K | $123.1K | $47.94 | 3.33x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.0K | $84.4K | $81.40 | 1.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 662 | $72.1K | $108.91 | 2.18x |
| J1745 | Injection infliximab, 10 mg | 999 | $48.5K | $48.51 | 2.13x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 459 | $46.4K | $101.15 | 2.04x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 786 | $29.1K | $36.97 | 2.92x |
| 96415 | Infusion of chemotherapy into a vein | 1.1K | $23.9K | $21.35 | 2.88x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 497 | $15.2K | $30.53 | 2.26x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.1K | $13.6K | $11.96 | 2.97x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 882 | $12.6K | $14.24 | 3.77x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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